CLABSI/CAUTI
This is the number one way to prevent a CAUTI
What is NO foley, no CAUTI, remove the foley
This is the number of loose/liquid stools required prior sending a c diff test
What are 3 loose or liquid stools
This is how high head of bed should be
What is at least 30 degrees
This how often a full skin assessment should be performed
When is every shift for Braden skin scoring, on admission, with any transfer, with any change in condition
This item should be left in reach of patient before leaving the room
what is a call light
What is treatment
This is when contact plus isolation should be ordered
What is after the first unexplained loose stool
This is the minimum amount of times oral care should be performed
What is 2 times a day
List 3 things to prevent HAPI
What are foam wedges, turn q 2, mepilex dressings, heel boots
This should be done to bed before leaving a fall risk patient's room
What is place in the lowest position, and turn on the bed alarm
These are the elements of the CAUTI prevention bundle
What are qshift assessment of indication of foley, Maintained closed drainage system, foley secured, Bag Below Bladder, Unobstructed flow maintained
This should be done prior to exiting a contact plus room
This is the "U" in the ROUTE bundle
What is UP, as in up in chairs for meals, mobilize out of bed
List 3 devices that are associated with increased risk of HAPI
What are BIPAP, CPAP, nasal cannula, ET tubes, peg tubes, splints, casts, o2 sensors, NG tubes, SCD tubes
These are visible clues that a patient is considered high fall risk
What are a stop light on the door, or Yellow socks, or yellow gown
These are elements of the CLABSI bundle
What are:
•Hand hygiene before touching line • scrub the hub prior to access •CVL dressing clean, dry, and intact •Daily assessment of line necessity •Standard dressing, cap, and tubing changes •Daily CHG treatments
These must be in every contact plus room
This is the frequency and instances when to check NG tube placement
What is every four hours, before and after feedings or mobilization and whenever a patient
complains of pain, vomiting or coughing.
This is the type of mattress a low Braden score patient should be on
What is the low air loss mattress
This is how often the Schmid fall risk assessment should be done
When is every 12 hours, after a fall, on admission, after change in level of care
This is the number of straight caths and number of bladder scans prior to inserting a foley for acute retention as outlined in the bladder scanning protocol
What is 2 straight caths and 3 bladder scans
These are exclusion criteria for sending a c diff specimen
What are within the last 24 hours receiving laxatives, bowel prep, an enema, undergoing colon or small bowel surgery
These are the elements of respiratory care or the "R" in the ROUTE bundle
What are turn, cough and deep breathe, use of incentive spirometer
These are the 5 specific risk factors assessed by the Braden score
What are
• Alteration in sensory perception
• Moisture
• Activity
• Mobility
• Friction and shear
These are the ABCS criteria that help identify which patients are at high risk for serious injury if they fall
What are age >75, disease or medication that affect bone strength, patients with impaired coagulation, Surgery in the last 48 hours